Application_1181926CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1181926
Applicant
First Name Last Name
Terry Willey
Company Name
Northwest Quality Remodel & Deck
Number Street
15414 91 st AVE SE
Apartment or Suite Number E-mail Address
awhomes@comcast.net
City State Zip
Snohomish WA 98296
Phone Number Extension
(360) 668-0191
Contractor
Company Name
NW QUALITY REMODEL & DECK LLC
Number Street
15414 91 st AVE SE
Apartment or Suite Number
City State Zip
Snohomish WA 98296
Phone Number Extension
(360) 668-0191
State License Number License Expiration Date
NWQUAQR898JL 4/13/2023
UBI # E-mail Address
F;nil D?97S awhomes@comcast.net
Project Location
Number Street
21925 95TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00527900001600
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Claudia J Lafollette
Number Street
21925 95TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 8/2/2022 Submitted By: Terry Willey
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1181926
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Work Location
Work Description/Location (example: 1st floor, moving water heater and stove gas outlet locations
Master Bath, Garage)
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